Key result
Major perioperative cardiac events complicate ~2% to 4% of surgeries, underscoring pre-operative risk assessment.
Why the study?
Accurate identification of patients at risk for major perioperative cardiac events is needed to inform benefit-to-risk decisions and guide preventive strategies.
This review outlines strategies for pre-operative clinical risk assessment, diagnostic testing, and pre-emptive therapies to reduce the 1.4% to 3.9% risk of major perioperative cardiac events in noncardiac surgeries.
Major perioperative cardiac events are estimated to complicate between 1.4% and 3.9% of surgeries. Because most surgeries are elective, there is the opportunity to implement strategies to reduce this risk. Accurate identification of patients at risk for such events will allow patients to be better informed about the benefit-to-risk ratio of procedures, and guide allotment of limited clinical resources, utilization of preventive interventions, and areas of future research. This review focuses on important features of the initial pre-operative clinical risk assessment, indications for diagnostic testing to quantify cardiac risk, and the methods and indications for pre-emptive therapies.
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Patel et al. (2015) conducted a review in Perioperative cardiac events in noncardiac surgery. Pre-operative clinical risk assessment and preventive therapies was evaluated. Major perioperative cardiac events complicate 1.4% to 3.9% of surgeries, highlighting the importance of pre-operative clinical risk assessment and preventive interventions.
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